<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Title')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-title" data-rule="required" class="form-control" name="row[title]" type="text" value="{$row.title|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('M')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-m" class="form-control" name="row[m]" type="text" value="{$row.m|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('C')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-c" class="form-control" name="row[c]" type="text" value="{$row.c|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('A')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-a" class="form-control" name="row[a]" type="text" value="{$row.a|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mca')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mca" class="form-control" name="row[mca]" type="text" value="{$row.mca|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Client_type')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-client_type" class="form-control" name="row[client_type]" type="text" value="{$row.client_type|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Client_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-client_id" data-rule="required" data-source="client/index" class="form-control selectpage" name="row[client_id]" type="text" value="{$row.client_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ip')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ip" class="form-control" name="row[ip]" type="text" value="{$row.ip|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
